autism & developmental disabilities monitoring network surveillance year 2002, 2006, 2008, &...
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2002 2006 2008 20100
10
20
30
40
50
60
70
80
47%
41% 38%
31%
53%59%
62%
69%
Impaired IC [IQ≤70]
Intact IC [>70]
Perc
enta
ge (%
)
Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2006, 2008, & 2010
Ris ing Prevalence of ASD in Inte l lectual ly Capable Populat ions
Growing proportion of children with HF-ASD
Autism & Developmental Disabilities Monitoring Network Surveillance Year 2010
Diagnost ic Subtypes of ASD
Prevalence in Children 8 Years Old
44%
56%
Autistic Disorder [Narraw Phe-notype]
Higher proportion with Broader Phenotype of ASD
<3 years 3 - 5 years
6 - 8 years
≥9 years0
5
10
15
20
25
30
35
40
20%
36%
17%
✝
27%
Age
at D
iagn
osis
(%)
Age at Diagnosis of ASD
By Age at Identification
Two-thirds of Broader Phenotype identified after age 5 years
Autism & Developmental Disabilities Monitoring Network Surveillance Year 2002, 2008, 2010;
Levy et al., 2010
✝80% more likely to have psychiatric
comorbidity compared to cases identified at earlier
ages (<9 years)
Autistic Dis-order
PDD-NOS Asperger's Disorder
0
1
2
3
4
5
6
7
8
44.5
6.25
Mea
n Ag
e at
Dia
gnos
is (y
ears
)
By ASD Diagnosis(In Children 8 years
Old)
Half of the psychiatric referrals to Bressler Program are between ages 8 & 17 years
Referral by Age (N=863)
Psychiatr ic Referra l toBress ler Program
for ASD
< 8 Yrs. 8 - 12 Yrs. 13 - 17 Yrs 18 - 24 Yrs. > 24 Yrs.0
5
10
15
20
25
30
35
40
3%
19%
31%
26%
20%
Refe
rrals
%
The Alan & Lorraine Bressler Program for Autism Spectrum Disorder
Significant ASD Traits
34% (N = 110)
Total N: 303Age Range: 4-18 years
IQ: Predominantly Intact
SRS Screen+ for ASD:(Raw score: >70; >65)♂ ♀
34% (N=110)
Attending Psychiatry Outpatient Clinic
Aut is t ic Tra i ts inPsych iatr ica l ly Referred Youth
One-third of youth screened positive for ASD
Clinical and Research Program in Pediatric Psychopharmacology